CLIA lab
CLIA 21D0220436: Maryland Primary Care Physician LLC
Queenstown, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 21D0220436 belongs to Maryland Primary Care Physician LLC in Queenstown, MD.
Certificate for Provider-Performed Microscopy Procedures, effective February 7, 2026, expires February 6, 2028.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate for Provider-Performed Microscopy Procedures
- Certificate effective
- February 7, 2026
- Certificate expiration
- February 6, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- Physician office
- Ownership (control type)
- Government, state
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 21D0220436
- Lab name
- Maryland Primary Care Physician LLC
- Address
- 125 Shoreway Drive, Suite 120, Queenstown, MD 21658
- Phone
- (410) 827-4001
- Fax
- (410) 827-4333
Annual test volume the lab reported
- Waived tests
- 632
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Queenstown, MD
- Queenstown LandingCertificate of Waiver, Assisted living facility21D2255618
- Um Shore Emergency Center at QueenstownCertificate of Accreditation, Other21D2011485
- University of Maryland Community Medical GroupCertificate of Waiver, Physician office21D2004486
- University of Maryland Community Medical GroupCertificate of Waiver, Physician office21D2129919
- University of Maryland Community Medical GroupCertificate of Waiver, Physician office21D2293485
- University of Maryland Community Medical GroupCertificate of Waiver, Physician office21D2332981
Related
Questions
What is the CLIA number for Maryland Primary Care Physician LLC in Queenstown?
21D0220436, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Maryland Primary Care Physician LLC hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 21D0220436 expire?
The CMS file lists February 6, 2028 as the certificate expiration date; the certificate took effect February 7, 2026.